The Primary Care Physician Medical Coder performs coding validation and charge review for assigned medical departments to ensure timely, accurate, and compliant submission of charges. The role assigns, sequences, validates, and edits codes as needed and initiates, reviews, and edits physician queries when appropriate. The coder maintains current knowledge of coding guidelines, regulatory requirements, reimbursement practices, and hospital policies to support accurate and compliant coding.
Key responsibilities include complex ICD-10 and CPT/ASA coding review and validation, charge review for billing accuracy, collaboration with physicians to resolve coding and documentation questions, participation in training and education activities, and ongoing maintenance of coding and reimbursement knowledge.
Certified Professional Coder (CPC) certification required.
- Primary coding experience
- Two years of physician medical coding experience required
- Strong knowledge of ICD-10-CM and CPT-4 or ASA coding systems
- Knowledge of medical terminology, anatomy and physiology, pathophysiology, and healthcare billing and reimbursement practices
- Knowledge of computerized billing systems
- Knowledge of CCI, LCD, CMS, and payer editing requirements
- Strong written and verbal communication skills
- Ability to work effectively with physicians and diverse internal and external constituencies
- Ability to work independently and as part of a team
- Strong attention to detail and accuracy
- High School Diploma or GED required; Associate's Degree preferred
Flexible schedules
- Affordable health, vision, and dental insurance
- Child care and student loan subsidies
- Generous paid time off
- 403(b) retirement savings plan
- Pension
- Tuition support and certain license/certification reimbursement
- Employee discounts
- Discounted commuter benefits at certain locations
Location
Massachusetts, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago